Individual
JESSICA L BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1403 HONAKER AVE, PRINCETON, WV 24740-3065
(304) 952-1036
Mailing address
1403 HONAKER AVE, PRINCETON, WV 24740-3065
(304) 487-1551
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
58995
WV
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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